Trinity Endodontics of Greater Plant City

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

DN16500 Issued in FL

Legal business name

TRINITY ENDODONTICS OF GREATER PLANT CITY

Practice address

1702 Walden Village CT
Plant City, FL 33566-0955

Phone

(813) 754-3636

Fax

(813) 754-4449

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terryl M. Crawford, D.M.D.,M.S.D.

Title

Endodontist

Phone

(813) 754-3636

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1215368782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WALDEN VILLAGE CT",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660955",
            "telephone_number": "813-754-3636",
            "fax_number": "813-754-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 WALDEN VILLAGE CT",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660955",
            "telephone_number": "813-754-3636",
            "fax_number": "813-754-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ENDODONTICS OF GREATER PLANT CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TERRYL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "813-754-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "DN16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Plant City, FL
• Providers in Plant City, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.